Crystal L Mathis

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704347609 Issued in MI

Practice address

245 Pitkin St
Highland Park, MI 48203-3737

Phone

(313) 865-1500

NPI assigned

Dec 16, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1285598946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ASBURY PARK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482271171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PITKIN ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033737",
            "telephone_number": "313-865-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "CRYSTAL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704347609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wally Sherman Mahar, M.D.
• Olivia Maleckas
• Mara Venture Capital LLC
• Mary Marshall, FAODP
• Margo Martin, CAC-M
• Trekinya Matthews, LLMSW
• Patricia Maxwell, COUNSELOR
• Ruth Evans Mays, MD
• Natalie Maria Maziarz
• Tashombe Lynn McAdoo, LPN

• Registered Nurse in Highland Park, MI
• Providers in Highland Park, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.